The Hospital for Sick Children, 555 University Avenue, M5G1X8, Toronto, Ontario, Canada.
Departments of Pediatrics and Biochemistry, University of Toronto, Toronto, Ontario, Canada.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 Nov;66(11):1205-1213. doi: 10.1007/s00103-023-03786-1. Epub 2023 Oct 4.
Newborn screening (NBS) for inherited and congenital disorders is a form of secondary disease prevention and a public health responsibility. The development of NBS programs is one of the most important achievements in health care. While the scope of the screening targets has expanded and methods have evolved, the screening process has remained essentially unchanged.In 2006, the Canadian province of Ontario implemented a new provincial NBS program that differs from conventional programs. One of the key differences is the structured and fully funded partnership between the ministry of health, the NBS laboratory, and the treatment centers in the province. Each one of these partners has defined roles and accountability. Another difference is the move away from the conventional recall process to an immediate referral system to selected treatment centers.In this article, we report our experience with the new screening structure and discuss it as a model for future NBS programs.
新生儿筛查（NBS）是一种二级疾病预防形式，也是公共卫生的责任。NBS 项目的发展是医疗保健领域最重要的成就之一。尽管筛查目标的范围扩大了，方法也有所发展，但筛查过程基本保持不变。2006 年，加拿大安大略省实施了一项新的省级 NBS 项目，与传统项目不同。其中一个主要区别是卫生部、NBS 实验室和该省治疗中心之间建立了结构化和全面资助的伙伴关系。每个合作伙伴都有明确的角色和责任。另一个区别是从传统的召回过程转变为立即向选定的治疗中心转诊系统。本文报告了我们对新筛查结构的经验，并将其作为未来 NBS 项目的模式进行了讨论。
